Introduction of MRCPUK SEND Exam!

MRCPUK SEND stands for Mental Health Core Skills Education and Training Framework. It is an exam developed by the Royal College of Psychiatrists and is designed to assess knowledge and skills in the area of mental health and wellbeing.

What is the Duration of MRCPUK SEND Exam?

The MRCPUK SEND exam is a two-hour online assessment.

What are the Number of Questions Asked in MRCPUK SEND Exam?

The MRCPUK SEND Exam consists of 140 multiple-choice questions.

What is the Passing Score for MRCPUK SEND Exam?

The passing score required in the MRCPUK SEND exam is 75%.

What is the Competency Level required for MRCPUK SEND Exam?

The MRCPUK SEND exam is a Level 2 exam and is designed for health professionals who have a good general knowledge of the principles of SEND and the legislative framework, but not necessarily a specialist in the field.

What is the Question Format of MRCPUK SEND Exam?

The MRCPUK SEND Exam consists of multiple-choice questions.

How Can You Take MRCPUK SEND Exam?

The MRCPUK SEND exam is available online and in testing centers. The online version of the exam can be taken at any time and from any location. The exam is administered by Pearson VUE and consists of multiple-choice questions. The in-person exam is administered at designated testing centers and consists of multiple-choice questions as well as a practical assessment.

What Language MRCPUK SEND Exam is Offered?

The MRCPUK SEND Exam is offered in English.

What is the Cost of MRCPUK SEND Exam?

The MRCPUK SEND Exam is offered at a cost of £125.

What is the Average Salary of MRCPUK SEND Certified in the Market?

The average salary for an MRCPUK SEND exam certification holder varies depending on the job role and the location. Generally speaking, salaries range from £25,000 to £50,000 per year.

Who are the Testing Providers of MRCPUK SEND Exam?

The MRCPUK SEND exam is administered by the Royal College of Psychiatrists (RCP). The RCP has a network of approved testing centres across the UK that provide the necessary testing services for this exam.

What is the Recommended Experience for MRCPUK SEND Exam?

The recommended experience for the MRCPUK SEND exam is a minimum of two years in a clinical setting, with at least one year of experience in a special educational needs and disability (SEND) setting. Candidates should also have a good understanding of the SEND Code of Practice, and experience of working with children and young people with SEND.

What is the Expected Retirement Date of MRCPUK SEND Exam?

The expected retirement date of the MRCPUK SEND exam is not currently available online. You can contact the Royal College of Physicians (RCP) directly for more information. The contact details for the RCP can be found on their official website: https://www.rcplondon.ac.uk/contact-us

What is the Difficulty Level of MRCPUK SEND Exam?

The difficulty level of the MRCPUK SEND exam is considered to be moderate.

What is the Roadmap / Track of MRCPUK SEND Exam?

The MRCPUK SEND Exam Certification Roadmap is as follows: 1. Complete the online SEND Exam registration form. 2. Take the MRCPUK SEND Exam. 3. Receive your MRCPUK SEND Exam results. 4. If you pass the exam, you will receive your MRCPUK SEND Exam Certificate. 5. Submit your MRCPUK SEND Exam Certificate to the relevant professional body. 6. Receive your MRCPUK SEND Exam Certification. 7. Use your MRCPUK SEND Exam Certification to apply for jobs or further your education.

What are the Topics MRCPUK SEND Exam Covers?

The MRCPUK SEND exam covers the following topics: 1. Special Educational Needs and Disabilities (SEND): This topic covers the legal framework and statutory guidance that applies to SEND, as well as the key principles and approaches to teaching and learning for students with SEND. 2. Assessment and Identification: This topic covers the procedures and processes for assessing and identifying students with SEND, as well as the methods of data collection and analysis. 3. Provision: This topic covers the range of interventions and strategies that can be used to support students with SEND, including personalised learning, behaviour management and support for families. 4. Inclusion: This topic covers the principles of inclusive practice and the importance of promoting a positive attitude towards SEND. It also covers the importance of developing positive relationships with students, families and other professionals. 5. Professional Responsibilities: This topic covers the professional responsibilities of teachers and other professionals when working

What are the Sample Questions of MRCPUK SEND Exam?

1. What is the purpose of the SEND regulations? 2. How can SEND principles be applied to educational settings? 3. What are the key elements of an effective SEND policy? 4. How can SEND support be tailored to meet the needs of individual children? 5. What strategies can be used to ensure that SEND pupils are included in mainstream education? 6. How can teachers ensure that SEND pupils are given the same opportunities as their peers? 7. What strategies can be used to reduce the risk of exclusion for SEND pupils? 8. How can parents and carers be involved in the SEND support process? 9. What are the legal requirements for SEND provision in the UK? 10. How can schools ensure that their SEND policies are compliant with the law?

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Free SEND – SEND - Endocrinology and Diabetes (Specialty Certificate Examination) Practice Test Question

Q: What is the Target Audience of MRCPUK SEND Exam?

The target audience of the MRCPUK SEND Exam is medical professionals who are involved in the assessment, diagnosis, and management of children and young people with special educational needs and disabilities (SEND). This includes doctors, nurses, psychologists, and other health professionals.

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Showing 1–10 of 10 questions

Question 1

A 43-year-old man presented with a 2-year history of tiredness and reduced libido. He had not been found to have diabetes mellitus.

On examination, his body mass index was 22.4 kg/m2 (18–25), he was poorly virilised and had 10 mL testes.

Investigations:

serum cortisol (09.00 h) 220 nmol/L (200–700)

serum testosterone 4 nmol/L (9.0–35.0)

plasma follicle-stimulating hormone 1.2 U/L (1.0–7.0)

plasma luteinising hormone 1.2 U/L (1.0–10.0)

serum prolactin 150 mU/L (<360)

serum thyroid-stimulating hormone 1.2 mU/L (0.4–5.0)

serum free T4 8.2 pmol/L (10.0–22.0)

serum insulin-like growth factor 1 7.8 nmol/L (5.6–23.3)

MR scan of pituitary empty sella; no mass lesion

An insulin tolerance test was advised to assess both cortisol and growth hormone reserve.

What is the most appropriate dose of insulin (in units/kg body weight) to administer?

Select an option, then click Submit answer.

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0.01
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0.05
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0.1
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0.5
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1.0

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Question 2

A 17-year-old boy with type 1 diabetes mellitus was admitted with diabetic ketoacidosis precipitated by a recent viral illness.

Investigations on admission:

random plasma glucose 15.0 mmol/L

arterial blood gases, breathing air:

pH 7.07 (7.35–7.45)

H+ 85 nmol/L (35–45)

Investigations after initial treatment with fluids, insulin and potassium 7 h after admission:

random plasma glucose 4.0 mmol/L

serum bicarbonate 10 mmol/L (20–28)

At this stage, he was being given infusions of insulin (1 U/h) and glucose 5% (100 mL/h).

What is the most appropriate next step in management?

Select an option, then click Submit answer.

○
continue current regimen
○
continue current regimen but encourage oral carbohydrate intake
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continue insulin infusion and change glucose to a higher concentration
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give intravenous sodium bicarbonate
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stop insulin infusion if glucose falls any further, then repeat plasma glucose in 15 min

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Question 3

A 28-year-old man was seen in the lipid clinic following a referral from the general surgical team. He had had two episodes of acute pancreatitis over the preceding 6 months, which settled spontaneously. He had a past medical history of HIV disease and was taking highly active antiretroviral (HAART) therapy. He drank 12 units of alcohol per week.

On examination, he had no stigmata of hyperlipidaemia.

Investigations:

fasting plasma glucose 6.2 mmol/L (3.0–6.0)

haemoglobin A1c 44 mmol/mol (20–42)

serum cholesterol 7.5 mmol/L (<5.2)

fasting serum triglycerides 23.70 mmol/L (0.45–1.69)

serum thyroid-stimulating hormone 0.7 mU/L (0.4–5.0)

serum free T4 14.3 pmol/L (10.0–22.0)

What class of antiretroviral drug is the most likely cause of his metabolic disturbance?

Select an option, then click Submit answer.

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entry inhibitors (e.g. enfuvirtide)
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integrase inhibitors (e.g. raltegravir)
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non-nucleoside reverse transcriptase inhibitors (e.g. nevirapine)
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nucleoside reverse transcriptase inhibitors (e.g. zidovudine)
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protease inhibitors (e.g. ritonavir)

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Question 4

A 32-year-old man presented with persistent thirst. He had a past history of polydactyly, which had been corrected surgically in infancy. His family had remarked about his recent weight gain. His only concern was of blurring of vision and difficulty reading. His father and paternal grandfather had each developed type 2 diabetes mellitus when aged 41 and 56 years, respectively.

His body mass index was 34 kg/m2 (18–25). Urinalysis showed glucose 2+, ketones 1+.

Investigations:

serum sodium 142 mmol/L (137–144)

serum potassium 3.8 mmol/L (3.5–4.9)

serum chloride 105 mmol/L (95–107)

serum urea 5.0 mmol/L (2.5–7.0)

serum creatinine 90 µmol/L (60–110)

haemoglobin A1c 91 mmol/mol (20–42)

random plasma glucose 11.3 mmol/L

ultrasound scan of kidneys normal

What is the most likely underlying diagnosis?

Select an option, then click Submit answer.

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Bardet–Biedl syndrome
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monogenic diabetes caused by a mutation in the glucokinase gene
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monogenic diabetes caused by a mutation in the HNF-1? gene
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Prader–Willi syndrome
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type 2 diabetes mellitus

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Question 5

An 18-year-old woman was referred by her general practitioner for further investigation of “funny turns” during which she developed palpitations, sweating, tremor, hunger, anxiety and paraesthesiae; all of these symptoms were relieved immediately by a sugary drink. She was otherwise well and was not taking any regular medication. There was a family history of type 1 diabetes mellitus. A spontaneous hypoglycaemic episode had not been captured and she was admitted to the diabetes/endocrine ward for a 72-hour fast. Her renal function was normal.

After a 12-hour fast she experienced her typical symptoms. Urinalysis showed no urinary ketones.

Investigations after 12-h fast:

fasting plasma glucose 2.0 mmol/L (3.0–6.0)

plasma insulin 56 pmol/L (<21 after hypoglycaemia)

serum C-peptide 514 pmol/L (180–360)

What is the most appropriate next step in management?

Select an option, then click Submit answer.

○
coeliac axis angiography
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MR scan of abdomen and pelvis to localise a mesenchymal tumour producing insulin-like growth factor 2
○
MR scan of pancreas to localise an insulinoma
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obtain a careful history looking for access to exogenous insulin
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request a urinary sulphonylurea screen on sample obtained during the fast

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Question 6

A 35-year-old woman with a 12-year history of type 1 diabetes mellitus was reviewed in the multidisciplinary pump clinic, because her diabetes was treated with an insulin pump. She had a group 2, C1 lorry-driving licence.

Specific driving-related questioning showed that she kept fast-acting carbohydrate in her vehicles and she reported good hypoglycaemic warnings. Data downloaded from her pump indicated significant variability in her blood glucose readings with few results below 2 mmol/L. She declared that this happened occasionally and she was able to explain the events.

According to implementation by the UK of the Third European Union Directive on driving, what is the most appropriate advice?

Select an option, then click Submit answer.

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her licence must be surrendered immediately until further assessment
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she can continue to drive
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she must appear before a Driver and Vehicle Licensing Agency-accredited diabetes specialist for assessment within 1 month
○
she must surrender her licence for 6 months
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she should stop driving voluntarily until blood glucose levels increase

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Question 7

A 54-year-old man was referred from the urology department with erectile dysfunction.

On examination, he had normal secondary sexual characteristics. Testicular volume was estimated at 15 mL bilaterally.

Investigations:

random plasma glucose 8.0 mmol/L

serum testosterone 8.1 nmol/L (9.0–35.0)

plasma follicle-stimulating hormone 3.4 U/L (1.0–7.0)

plasma luteinising hormone 4.7 U/L (1.0–10.0)

serum prolactin 410 mU/L (<360)

What is the most appropriate next step in management?

Select an option, then click Submit answer.

○
check for macroprolactinaemia
○
fasting plasma glucose
○
prescribe sildenafil
○
prescribe testosterone replacement
○
serum testosterone (09.00 h)

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Question 8

A 32-year-old woman with a recurrent history of Graves’ thyrotoxicosis was being considered for radioiodine treatment. However, she wanted to conceive again at some stage and asked how soon she could become pregnant.

After what minimum interval would it be safe for her to conceive again?

Select an option, then click Submit answer.

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2 months
○
4 months
○
6 months
○
8 months
○
12 months

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Question 9

A 62-year-old woman with persistent hypertension attended the clinic for review. She had no previous medical history of note and was taking amlodipine, ramipril, bendroflumethiazide, spironolactone and doxazosin. Her blood pressure was raised at 160/100 mmHg.

Investigations:

serum sodium 138 mmol/L (137–144)

serum potassium 3.8 mmol/L (3.5–4.9)

A blood test for renin and aldosterone concentration was being considered.

For what minimum period should spironolactone be discontinued before this test?

Select an option, then click Submit answer.

○
72 h
○
1 week
○
2 weeks
○
6 weeks
○
8 weeks

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Question 10

A 33-year-old man was referred to the diabetes clinic with an 8-month history of weight loss and polydipsia. Two months previously his general practitioner had found a high fasting plasma glucose concentration of 17.5 mmol/L (3.0–6.0) and a haemoglobin A1c of 116 mmol/mol (20–42). The patient was taking metformin 1 g twice daily. He reported in the diabetes clinic that his home capillary blood glucose concentrations persisted to be high, ranging between 15–24 mmol/L.

On examination, his body mass index was 23 kg/m2 (18–25).

His blood tests were repeated in the diabetes clinic and he was treated with a basal bolus insulin regimen. Urinalysis was negative for ketones.

Investigations (in diabetes clinic):

haemoglobin A1c 110 mmol/mol (20–42)

serum C-peptide 200 pmol/L (180–360)

anti-glutamic acid decarboxylase (GAD)

antibodies 69 IU/mL (<10)

anti-IA2 antibodies negative

What is the most likely diagnosis?

Select an option, then click Submit answer.

○
haemochromatosis
○
latent autoimmune diabetes in adults
○
maturity-onset diabetes of the young
○
mitochondrial diabetes mellitus
○
type 1 diabetes mellitus

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About the SEND Free Practice Test

Prepare for the SEND - Endocrinology and Diabetes (Specialty Certificate Examination) (SEND) exam with this free practice test from Study4Pass, built around the real MRCPUK syllabus. The 10 questions are a free sample of the full Study4Pass practice set of 200 questions, so you can check your level before you commit to the real exam. The free sample is made up of 10 single-answer questions, each with a full explanation. Questions are spread across the areas that matter most on the real exam: Special Educational Needs and Disabilities (SEND), Assessment and Identification, Provision and Inclusion. MRCPUK SEND stands for Mental Health Core Skills Education and Training Framework.

The target audience of the MRCPUK SEND Exam is medical professionals who are involved in the assessment, diagnosis, and management of children and young people with special educational needs and… The prerequisite for the MRCPUK SEND Exam is that candidates must have a minimum of two years’ experience in the field of special educational needs and/or disabilities (SEND).

Certification: SEND - Endocrinology and Diabetes (Specialty Certificate Examination) (SEND)
Vendor: MRCPUK
Free on this page: 10 practice questions with answers and explanations
Full practice set: 200 questions

Treat this sample as a diagnostic. Answer honestly, check the explanation after every question, and note which topics feel shaky. A short, focused review of those topics is worth more than re-reading everything — and the full set lets you drill them topic by topic.

A good way to use this page: take the whole sample in one sitting, then go back over every explanation with fresh eyes. Mark the topics that felt uncertain, not just the ones you got wrong — uncertain answers are unmarked risk on the real exam. One or two focused passes like this usually move a score more than days of passive reading.

Inside the full SEND practice set:

All 200 questions with answers and explanations
Timed Exam Simulation that mirrors the real exam pressure
Topic Training to drill one domain at a time
Ask AI for More Explanation on every question
Flag questions and review them before you finish

How to use this SEND free practice test

Answer a question, then check the result to see the correct answer and the explanation behind it. Work at your own pace — there is no timer and no signup. Stuck on a concept? This is an AI-Enabled practice test: use Ask AI on any question and get the underlying concept explained in plain words, so you learn the reasoning instead of memorizing answers. When the free sample feels comfortable, the full set of 200 questions adds timed Exam Simulation, topic-by-topic training, and flagged-question review — the closest thing to exam day you can get before the real thing.

What to study for each SEND domain

Special Educational Needs and Disabilities (SEND) — This topic covers the legal framework and statutory guidance that applies to SEND, as well as the key principles and approaches to teaching and learning for…
Assessment and Identification — This topic covers the procedures and processes for assessing and identifying students with SEND, as well as the methods of data collection and analysis.
Provision — This topic covers the range of interventions and strategies that can be used to support students with SEND, including personalised learning, behaviour management and support for…
Inclusion — This topic covers the principles of inclusive practice and the importance of promoting a positive attitude towards SEND.
Professional Responsibilities — This topic covers the professional responsibilities of teachers and other professionals when working

SEND practice test — quick questions

Is this SEND practice test free?

Yes. Every question on this page — all 10 of them — is free to use, and you never need to create an account to try them.

How many questions are in the full SEND set?

The full Study4Pass set for SEND has 200 practice questions. This page gives you 10 of them free so you can judge the quality and difficulty first.

Does the free test show the answers?

Yes. Check any question to reveal the correct answer and its explanation, and use Ask AI whenever you want the underlying concept explained step by step.

Is this the real SEND exam?

No — these are practice questions built to match the SEND domains and difficulty level, so you can prepare for the real exam with confidence.